inforMED
MalfunctionOCZ

PKG, 5MM PEEK HANDLE, 45CM

Received Sep 30, 2021 · Event occurred Jul 26, 2021

Report 0002936485-2021-00527 · MDR key 12558407

Device

Generic name

Endoscopic Grasping/cutting Instrument, Non-powered

Model number

0250181164

Catalog number

0250181164

Lot number

1840833K

Product problems

  • Arcing

Patient

Unknown

  • Blister
  • Blister

Narrative

Additional Manufacturer Narrative

THE DEVICE MANUFACTURE DATE IS NOT KNOWN AT THIS TIME. HOWEVER, SHOULD IT BECOME AVAILABLE IT WILL BE PROVIDED IN FUTURE REPORTS. ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem

IT WAS REPORTED THAT PRODUCT ARCED RESULTING IN BLISTERS TO THE PATIENT'S SKIN.

Additional Manufacturer Narrative

THE PRODUCT WAS NOT RETURNED FOR INVESTIGATION AND THE REPORTED FAILURE MODE WAS NOT CONFIRMED. ALLEGED FAILURE: ARCING. THE PROBABLE ROOT CAUSES COULD BE USER MISUSE, EXCESSIVE FORCE, NORMAL WEAR, OR IMPROPER STERILIZATION METHODS. THE DEVICE MANUFACTURE DATE IS NOT KNOWN. THE REPORTED FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE.

Description of Event or Problem

IT WAS REPORTED THAT PRODUCT ARCED RESULTING IN BLISTERS TO THE PATIENT'S SKIN.